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Organization
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
Active
Organization
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
Active
Other names
dba Brandon Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GARDNER (FINANCE DIRECTOR)
(802) 855-2083
Entity
Organization
Contact information
Practice address
420 GROVE ST, BRANDON, VT 05733-9062
(802) 247-6305
(802) 247-6040
Mailing address
71 ALLEN ST, SUITE 101, RUTLAND, VT 05701-4570
(800) 468-9118
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
05/20/2006
Last updated
09/11/2018
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